0001495158-19-000006.txt : 20191226 0001495158-19-000006.hdr.sgml : 20191226 20191226211007 ACCESSION NUMBER: 0001495158-19-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20191223 FILED AS OF DATE: 20191226 DATE AS OF CHANGE: 20191226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gracias Antonio J. CENTRAL INDEX KEY: 0001495158 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 191311642 MAIL ADDRESS: STREET 1: C/O VALOR EQUITY PARTNERS STREET 2: 200 SOUTH MICHIGAN AVENUE, SUITE 1020 CITY: CHICAGO STATE: IL ZIP: 60604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tesla, Inc. CENTRAL INDEX KEY: 0001318605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 912197729 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94304 BUSINESS PHONE: 650-681-5000 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94304 FORMER COMPANY: FORMER CONFORMED NAME: TESLA MOTORS INC DATE OF NAME CHANGE: 20050222 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2019-12-23 0 0001318605 Tesla, Inc. TSLA 0001495158 Gracias Antonio J. C/O TESLA, INC. 3500 DEER CREEK ROAD PALO ALTO CA 94304 1 0 0 0 Common Stock 2019-12-23 4 G 0 7129 0.0 D 264649 I by AJG Growth Fund Common Stock 466 D Common Stock 4253 I by VEM II The reporting person gifted an aggregate 7,129 shares of Tesla common stock to charity. These shares are owned directly by AJG Growth Fund LLC. The reporting person is the manager of AJG Growth Fund LLC and may be deemed to have an indirect pecuniary interest in the shares owned by AJG Growth Fund LLC. The reporting person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein. These shares are owned directly by Valor Equity Management II, LP. The reporting person is the manager of Valor Equity Management II, LP and may be deemed to have an indirect pecuniary interest in the shares owned by Valor Equity Management II, LP. The reporting person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein. By: Aaron Beckman, Power of Attorney For: Antonio J. Gracias 2019-12-26 EX-24 2 poadirector.txt EDGAR SUPPORTING DOCUMENT LIMITED POWER OF ATTORNEY - SECURITIES LAW COMPLIANCE The undersigned, as a Director of Tesla, Inc. (the "Company"), hereby constitutes and appoints: Yun Huh, Aaron Beckman, Rakhi Patel and each of them, the undersigned's true and lawful attorney-in-fact and agent to complete and execute such Forms 3, 4 and 5 and other forms as such attorney shall in his descretion determine to be required or advisable pursuant to Rule 144 promulgated under the Securities Act of 1933 (as amended, Section 16 of the Securities Exchange Act of 1934 (as ammended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned's ownership, acquisition or disposition of equity securities of the Company, and to do all acts necessary in order to file such forms with the Securities and Exchange Commission, any securities exchange or national association, the Company and such other person or agency as the attorney shall deem appropriate. The undersigned hereby ratifies and confirms all that said attorneys-in-fact and agents shall do or cause to be done by virtue hereof. This Limited Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company unless earlier revoked by the undersigned in a writing delivered to the foregoing attorneys-in-fact. This Limited Power of Attorney is executed at 875 N. Michigan Avenue, Suite 3214, Chicago, IL 60611 as of the date set forth below. /s/Antonio J Gracias December 19, 2019 Witness: /s/Nancy L Kowalczyk December 19, 2019